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采用计算机断层扫描双嘧达莫负荷心肌灌注技术诊断的诱发性心肌缺血。

Inducible myocardial ischaemia diagnosed using computed tomography dipyridamole stress myocardial perfusion technique.

作者信息

Jabbour Andrew, Boshell David, Sesel Kenneth, Silverstone Elizabeth, Muller David, Stirrup James, Rubens Michael, Hayward Christopher S, Wright Susan P

机构信息

Radiology Department, Royal Brompton Hospital, London, UK.

出版信息

J Med Imaging Radiat Oncol. 2012 Aug;56(4):445-8. doi: 10.1111/j.1754-9485.2012.02363.x. Epub 2012 Jun 14.

Abstract

Improved multi-detector computed tomography (MDCT) temporal and spatial resolution allows for the assessment of coronary artery disease, left ventricular systolic function and resting myocardial perfusion defects with high sensitivity and specificity. Here we present a case using a novel combination technique of cardiac computed tomography scanning with dipyridamole stress for the detection of functionally significant coronary disease, and demonstrate that dipyridamole-induced myocardial ischaemia is both detectable and quantifiable by cardiac MDCT.

摘要

改进后的多排螺旋计算机断层扫描(MDCT)的时间和空间分辨率,能够以高灵敏度和特异性评估冠状动脉疾病、左心室收缩功能以及静息心肌灌注缺损。在此,我们展示了一个病例,该病例使用了心脏计算机断层扫描与双嘧达莫负荷试验相结合的新技术来检测具有功能意义的冠状动脉疾病,并证明双嘧达莫诱发的心肌缺血可通过心脏MDCT检测到且可量化。

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